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NPI Code Detail

MEDICARE: CARA DWYER

MEDICARE: CARA DWYER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language AssistantSLPA8465AZ

General Provider Information

NPI Number : 1063844207
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA DWYER
Provider Business Mailing Address
First Line : 1334 E CHANDLER BLVD
Second Line : SUITE 5
City : PHOENIX
State : AZ
Zip : 85048-6267
Country : US
Telephone Number : 602-793-7534
Fax Number :
Provider Business Practice Location Address
First Line : 1334 E CHANDLER BLVD
Second Line : SUITE 5
City : PHOENIX
State : AZ
Zip : 85048-6267
Country : US
Telephone Number : 602-793-7534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2013
Last Update Date : 07/31/2013

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Directions to “ CARA DWYER ” Practice Location

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